Is my baby getting enough breast milk?
This is a very common question, especially when you first start breast feeding or you are a first-time mum. Although it is impossible to tell you how much a baby is drinking, there are positive signs which can reassure you that all is well. Poor feeding could be a sign that your baby is unwell.
- Baby not waking up on their own or you are unable to wake your baby up for feeds
- Baby alert but breathing too fast to feed
- Becomes pale, mottled and feels abnormally cold to touch
- Blue around the lips
- Has a fit/seizure
You need urgent help.
Go to the nearest Hospital Emergency (A&E) Department or phone 999
- Change in established pattern of feeding - feeding much less frequently or for a much shorter period of time
- Failing to gain weight adequately, static weight or losing weight (most babies lose some weight in the first two weeks of life)
- Less wet nappies than before (in the first 48 hours, your baby is likely to have only two or three wet nappies. Wet nappies should become more frequent, with at least six every 24 hours from day five onwards). Tip: It can be hard to tell if disposable nappies are wet. To get an idea, take a nappy and add two to four tablespoons of water - this will give you a better idea of what to look and feel for.
- Baby seems drowsy (increasingly sleepy) or irritable (unable to settle despite distraction/feeding)
You need to contact a doctor or nurse today.
Please ring your midwife or GP surgery or call Wales NHS 111 - dial 111
- Baby wakes up for feeds on its own and has more than 8 eats in 24 hours.
- Baby settles following a feed
- Baby has a good strong suck and feeds in a calm relaxed way
- At the end of the feed, your breasts feel softer and baby is content and comes off the breast on their own
- Baby gains weight steadily after the first two weeks (it's normal for babies to lose some of their birth weight in the first two weeks)
- At the beginning, your baby will produce a black tar-like poo called meconium. After about five or six days, they should pass at least two soft yellow poos. Breastfed babies' poo is runny and doesn't smell.
- Additional advice is also available to young families for coping with crying of well babies – click here.
Self care
Continue providing your child’s care at home. If you are still concerned about your child contact your midwife or Health Visitor or call NHS 111 – dial 111
Is my baby latching on properly?
Breast feeding is a tricky skill that both mum and babies need to learn together. It is very common for women to experience some discomfort at the beginning of a feed whilst your breasts/nipples adapt to feeding regularly.
If you and your baby are comfortable with breast feeding, then you are doing fine. Signs that the baby is latching well to the breast include your baby holding a large mouthful of the breast, taking long sucks with pauses from time to time and coming off the breast feeling content at the end of a feed. Your breast or nipple should not feel sore afterwards.
Occasionally, a baby may be unable to open their mouth wide enough to latch on to the breast properly because they have a tongue tie. Click here for more information.
Click here for more information about breast feeding positions and latching on.
Thing that can affect your milk supply
Generally speaking, the more your baby feeds - the more breast milk you will produce. However, if you're worried that your baby isn't getting enough milk, talk to your midwife, health visitor or a breast feeding specialist as soon as possible. With their help and advice, you'll be able to identify the problem and find a solution.
Things that could affect your milk supply include:
Sore nipples
Feeding by the clock
Topping up with formula milk
Tongue tie
Dummies
Being apart from your baby
Medication
How to increase you breast milk?
If you feel you need to boost your milk supply, there are a few ways that you can do this:
Try not to give your baby anything other than breast milk. The more you breast feed your baby, the more you'll produce.
If you want to give your baby a dummy, try to wait a few weeks - or until you are both comfortable and confident with breastfeeding.
Let your baby feed when they want to, for as long as they need to. Don't clock watch.
When you're feeding, offer both breasts - remember to switch breasts each feed.
Holding your baby close, especially skin-to-skin, will help increase your milk supply.
Avoid weaning until your baby is ready - this is usually around six months.
If you are doing all these things already but you're still concerned you have a low milk supply, ask your midwife to refer you to a breast feeding specialist. Feeding specialists are very understanding and will be able to have a look at how your baby's feeding and offer practical advice, help and support.
Expressing and storing breast milk
Expressing milk means extracting milk out of your breasts (using a breast pump or hand expressing) so you can store it and feed it to your baby at a later time.
There are some really good reasons why you might need to feed your baby expressed breast milk:
If your baby is premature, they may not be able to feed at the breast but could still get much of the goodness through receiving expressed breast milk.
Returning to work or study, someone else can feed them your expressed breast milk.
If your breasts feel uncomfortably full (engorged) or your baby can't latch on properly for some reason.
However, if you do feed your baby expressed breast milk, it is important you adhere to strict advice with regards to hygiene and methods involved. Here is the link to all you need know about Expressing Breast Milk and storing it.
What you should and shouldn't eat if you're breast feeding:
Click here for some tips on what you should be eating if you're breast feeding.
And more importantly, here is some information on food that you should be avoiding where possible.
Alcohol and breastfeeding:
While it's safer not to drink any alcohol whilst breast feeding, an occasional alcoholic drink (i.e. 1 or 2 units once or twice a week) is unlikely to harm your baby.
Click here for more information
Should I take vitamins during breast feeding?
If you are breast feeding, a balanced diet will provide most vitamins you need. However, you should consider a vitamin D supplement due to the lack of sunshine most of the year in the UK.
Breast feeding support:
There is a lot of help and support available for breastfeeding in the community close to where you live. You can talk to your midwife, health visitor or contact any of the breast feeding support services listed below:
Online help:
La Lech League offers mother-to-mother breast feeding support
The unicef Baby Friendly breastfeeding checklist
NHS link Breastfeeding your baby
Local help:
Ask your midwife or healthvisitor about local support options
National organisations:
National Breast Feeding Helpline 03001000212 (9:30am to 9:30pm daily)
Association of Breast Feeding Mothers - Telephone: 03003305453
For wear and tear, minor trips and everything in between.
Self-care
You can treat your child's very minor illnesses and injuries at home.
Some illnesses can be treated in your own home with support and advice from the services listed when required, using the recommended medicines and getting plenty of rest.
Sound advice
Children can recover from illness quickly but also can become more poorly quickly; it is important to seek further advice if a child's condition gets worse.
For information on common childhood illnesses go to What is wrong with my child?
For wear and tear, minor trips and everything in between.
Self-care
You can treat your child's very minor illnesses and injuries at home.
Some illnesses can be treated in your own home with support and advice from the services listed when required, using the recommended medicines and getting plenty of rest.
Sound advice
Children can recover from illness quickly but also can become more poorly quickly; it is important to seek further advice if a child's condition gets worse.
For information on common childhood illnesses go to What is wrong with my child?
Pharmacists are experts in many aspects of healthcare and can offer advice on a wide range of long-term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment and many have private consultation areas, so they are a good first port of call. Your pharmacist will say if you need further medical attention.
Sound advice
- Visit a pharmacy if your child is ill, but does not need to see a GP.
- Remember that if your child's condition gets worse, you should seek further medical advice immediately.
- Help your child to understand - watch this video with them about going to the pharmacy.
For information on common childhood illnesses go to What is wrong with my child?
Pharmacists are experts in many aspects of healthcare and can offer advice on a wide range of long-term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment and many have private consultation areas, so they are a good first port of call. Your pharmacist will say if you need further medical attention.
Sound advice
- Visit a pharmacy if your child is ill, but does not need to see a GP.
- Remember that if your child's condition gets worse, you should seek further medical advice immediately.
- Help your child to understand - watch this video with them about going to the pharmacy.
For information on common childhood illnesses go to What is wrong with my child?
Midwives provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They provide health education and parenting advice until care is transferred to a health visitor. This usually happens when your baby is about 2 weeks old.
Sound Advice
A midwife is an expert in normal pregnancy and birth.
You can find out more information about your local midwifery team by clicking here.
Midwives provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They provide health education and parenting advice until care is transferred to a health visitor. This usually happens when your baby is about 2 weeks old.
Sound Advice
A midwife is an expert in normal pregnancy and birth.
You can find out more information about your local midwifery team by clicking here.
Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Wales Programme. They work with you through your pregnancy up until your child is ready to start school.
Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.
Contact them by phoning your Health Visitor Team or local Children’s Centre.
Sound advice
Health visitors also provide advice, support and guidance in caring for your child, including:
- Breastfeeding, weaning and healthy eating
- Exercise, hygiene and safety
- Your child’s growth and development
- Emotional health and wellbeing, including postnatal depression
- Safety in the home
- Stopping smoking
- Contraception and sexual health
- Sleep and behaviour management (including temper tantrums!)
- Toilet training
- Minor illnesses
For more information watch the video: What does a health visitor do?
Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Wales Programme. They work with you through your pregnancy up until your child is ready to start school.
Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.
Contact them by phoning your Health Visitor Team or local Children’s Centre.
Sound advice
Health visitors also provide advice, support and guidance in caring for your child, including:
- Breastfeeding, weaning and healthy eating
- Exercise, hygiene and safety
- Your child’s growth and development
- Emotional health and wellbeing, including postnatal depression
- Safety in the home
- Stopping smoking
- Contraception and sexual health
- Sleep and behaviour management (including temper tantrums!)
- Toilet training
- Minor illnesses
For more information watch the video: What does a health visitor do?
If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.
Sound advice
Use NHS 111 Wales if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.
For information on common childhood illnesses go to What is wrong with my child?
If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.
Sound advice
Use NHS 111 Wales if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.
For information on common childhood illnesses go to What is wrong with my child?
